Get Observation Form - Ysu - Youngstown State University - Web Ysu

This guide provides detailed instructions for completing the Observation Form required for prospective students applying to the Youngstown State University Dental Hygiene Program. The form is designed to capture essential information from the applicant and the supervising registered dental hygienist.

Follow the steps to accurately complete the Observation Form.

1. Press the ‘Get Form’ button to access the Observation Form and open it in your preferred online editing tool.
2. In Section I, filled out by the student, provide your full name, address, city, state, and zip code accurately. Ensure all information is current and spelled correctly.
3. Section II is to be completed by the registered dental hygienist. Inform them to indicate the total hours of observation completed, ensuring it is at least twelve (12) hours across two separate dental offices or clinics.
4. The dental hygienist must write the date on which the observation hours were completed and sign their name to verify the accuracy of the recorded hours.
5. The dental hygienist should enter their name, office address, and telephone number. This information is critical for follow-up and verification.
6. Indicate whether the student is a graduate of Choffin School of Dental Assisting by selecting ‘yes’ or ‘no’. If ‘yes’, please provide the date of graduation.
7. Once all sections are completed, save the form. You can then download, print, or share the Observation Form as needed.

Complete your Observation Form online today to ensure a smooth application process!